Your Doctor
Dear Doctor I am 53 years old. This year I have done an ultrasonogram of my prostate gland. The report revealed mild enlargement of prostate (41x31x32 mm), volume of the gland 22.4 cc. PVR 30 ml.Is it advisable to go for operation to cut off the enlargement? If not, what risk I may have? I heard that there is risk of cancer? I went to a doctor, he gave me Tarazon. I am anxious. Please suggest. Regards JAChoudhury 108 Rampura, Dhaka. ChoudhuryJA@state.gov Answer: Prostate is a male reproductive gland that produces the fluid carrying sperm during ejaculation. It surrounds the urethra, the tube through which urine passes out of the body. An enlarged prostate is a non-cancerous condition in which the narrowing of the urethra makes the elimination of urine more difficult by narrowing the urethra. It most often occurs in men over age 40. Prostate gland enlargement affects about half of men in their 60s and up to 90 percent of men in their 70s and 80s. The presence or absence of prostate gland enlargement is not related to the development of prostate cancer. So it is a common phenomenon in elderly like you. You should not get worried as you have mild enlargement, also called benign enlargement of prostate (BEP) of the gland. Men with a BEP are no more or less likely to develop prostate cancer than those without BEP. It is not cancer and does not raise your risk for prostate cancer. Normally we treat case like yours with medication rather than surgery. But for proper diagnosis, you need some other tests besides ultrasonography. You should do PSA (prostate specific antigen) level, uroflowmetry for proper diagnosis and understanding the severity of the disease. After evaluating the reports a physician can advise you an appropriate treatment guideline.
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